5491 — Level 1 Intraocular Procedures
Cite this view
HANK Price Transparency. (n.d.). Level 1 Intraocular Procedures (OTHER 5491) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5491?code_type=OTHER
“Level 1 Intraocular Procedures (OTHER 5491) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5491?code_type=OTHER. Accessed .
“Level 1 Intraocular Procedures (OTHER 5491) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5491?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,196–$3,494 (25th–75th percentile) across 509 hospitals · 637 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5491 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $2.66 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $2.66 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $2.66 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $2.71 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $2.74 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $2.79 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $4.77 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $4.77 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $4.77 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $5.31 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $6.90 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $7.84 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $8.94 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $9.23 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $11.00 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $13.75 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $13.75 | $13.75 | $9.77 | 2026-05-08 | MRF ↗ |
| ANDALUSIA HEALTH OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY OutpatientFacility | Multiplan | Phcs/Beech Street Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $53.93 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $60.63 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $61.57 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $61.57 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $83.50 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MARION REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL BROOKSVILLE OutpatientFacility | Centene/Sunshine | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Bcbs - Western Ny | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medical Mutual Of Ohio | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | SCAN HEALTH PLAN | SCAN HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Scan Health Plan | Scan Health Plan Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | Empire | Empire Bc - Individual Network - Nyeei | — | — | — | 2026-04-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medical Mutual Of Ohio | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | Bcbs | Bluecare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $124.00 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $131.24 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $131.24 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF HOLY FAMILY MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-03-31 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $157.25 | — | — | 2026-05-17 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $171.36 | — | — | 2026-05-17 | MRF ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WILMINGTON VA MEDICAL CENTER OutpatientFacility | Amerihealth | Caritas Next Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $180.51 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $180.51 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $180.51 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $180.51 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $180.51 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $180.51 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $180.51 | — | — | 2026-05-06 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $180.51 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $180.51 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $180.51 | — | — | 2026-05-14 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $197.40 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $197.40 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $197.57 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $197.57 | — | — | 2026-05-17 | MRF ↗ |
| California Pacific Medical Center OutpatientFacility | San Francisco Health Plan | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| California Pacific Medical Center OutpatientFacility | San Francisco Health Plan | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $201.91 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $208.12 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $209.85 | $233.17 | $174.88 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $210.37 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $216.58 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Aetna Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Upmc Health Plan | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Health Cost Solutions | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Upmc For Life | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Highmark Senior Solutions Company | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Geisinger Gold | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Unitedhealthcare | Complete Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Unitedhealthcare | Complete Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan - Dual (D-Snp) | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Emblem | Emblem Medicaid - Msq | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Humana | Humana Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Humana | Humana Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Healthsprings Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ANDALUSIA HEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| CHEROKEE MEDICAL CENTER OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $287.64 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Molina | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Humana Horizons | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Anthem | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Outpatient | Traditional Medicaid | Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Buckeye | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Traditional Medicaid | Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Outpatient | United Healthcare | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Outpatient | Caresource | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Outpatient | Buckeye | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Outpatient | Humana Horizons | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Outpatient | Molina | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Outpatient | Anthem | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-14 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Ohiorise | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Buckeye | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Ohiorise | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Caresource | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Traditional Medicaid | Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Molina | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Anthem | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Caresource | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Humana Horizons | Medicaid Outpatient | $289.85 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | Bcbs Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | Bcbs Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $298.36 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Aetna | First Health | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid Outpatient | $304.35 | $8,415.30 | $7,153.01 | 2026-05-23 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | VALLEY HEALTH PLAN | VALLEY HEALTH PLAN MANAGED MEDI-CAL | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Valley Health Plan | Valley Health Plan Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $338.40 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $338.40 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Contra Costa Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Uhc Medicare Advantage | Uhc Medicare Complete | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Uhc Medicare Advantage | Uhc Medicare Complete | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | BCBS | HMO/POS | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Oscar Healthplan | Exchange | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Aetna | HMO/POS/PPO | — | — | — | 2025-08-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $364.91 | $564.00 | $366.60 | 2026-05-28 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Independent Health Association | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $365.03 | — | — | 2026-05-17 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Healthlink | Employee | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Healthlink | PPO | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | VACCN Government | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | BCBS | Anthem Access Other Commercial Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Coventry Health Care | First Health All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | BCBS | Anthem Pathways Exchange | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | BCBS | Anthem Traditional | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | BCBS | Anthem Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | BCBS | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Home State Health Plan | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Triwest Healthcare Alliance | Government | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Home State Health Plan | Ambetter Exchange | — | — | — | 2025-07-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $378.39 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $378.39 | — | — | 2026-03-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | Uhc Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | Uhc Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Medical Mutual | Medicare Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Medical Mutual | SuperMed Other Commercial Plan | — | — | — | 2026-01-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | CareSource | Medicaid Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.